Individual
DANA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 SAINT JAMES AVE STE 13A, GOOSE CREEK, SC 29445-3270
(843) 793-2588
Mailing address
221 SAINT JAMES AVE STE 13A, GOOSE CREEK, SC 29445-3270
(843) 793-2588
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
105234
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
VETERAN
—
Enumeration date
08/19/2022
Last updated
08/19/2022
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